Mohammed Fawwad Siddiqui, DDS

General Practice Dentistry · Portland, TX

Individual Active NPI

NPI number 1689350241

Practice location

1265 Us-181 Frontage
Portland, TX 78374
Phone
(361) 777-0700

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NPI record

NPI
1689350241
Entity type
Individual (Type 1)
Enumeration date
June 27, 2023
Last updated
July 7, 2023
Certified
June 28, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 39554 TX

About Dr. Siddiqui

Mohammed Fawwad Siddiqui, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1265 Us-181 Frontage, Portland, TX 78374. The NPI number 1689350241 was assigned on June 27, 2023 and the record was last updated on July 7, 2023.

Dr. Siddiqui lists a license in the registry: #39554 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mohammed Fawwad Siddiqui, DDS?

The NPI number is 1689350241.

What is the phone number of Dr. Siddiqui?

The phone number listed for the practice location is (361) 777-0700.

Where is Dr. Siddiqui located?

1265 Us-181 Frontage, Portland, TX 78374.

What is the taxonomy code for Dr. Siddiqui?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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